Kyle Diedrich Kutsup, ATC, LAT
Athletic Trainer · Sparta, NJ
Practice location
35 Conestoga TrlSparta, NJ 07871-2507
- Phone
- (973) 460-7708
NPI record
- NPI
- 1730840141
- Entity type
- Individual (Type 1)
- Enumeration date
- January 7, 2022
- Last updated
- January 7, 2022
- Certified
- January 5, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
25MT00184400 | NJ |
About Kyle Kutsup
Kyle Diedrich Kutsup, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 35 Conestoga Trl, Sparta, NJ 07871-2507. The NPI number 1730840141 was assigned on January 7, 2022 and the record was last updated on January 7, 2022.
Kyle Kutsup lists a license in the registry: #25MT00184400 (NJ) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kyle Diedrich Kutsup, ATC, LAT?
The NPI number is 1730840141.
What is the phone number of Kyle Kutsup?
The phone number listed for the practice location is (973) 460-7708.
Where is Kyle Kutsup located?
35 Conestoga Trl, Sparta, NJ 07871-2507.
What is the taxonomy code for Kyle Kutsup?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Sparta
- Luann Sensale421 E Shore Trl
- Sean Anthony Truesdell, ATC105 N Church Rd